| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,085.42 | $2,318.00 | $4,846.00 | |
Anthem BCBS
| Facility | $5,778.00 | $23,175.52 | $32,252.00 | |
CareSource
| Facility | $2,024.40 | $2,631.72 | $3,036.60 | |
United
| Facility | $2,062.00 | $5,167.00 | $10,396.00 |